| NPI | 1720234776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 13201500-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 8356) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2016-0755) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2023-08-04 |