| NPI | 1720366875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 270715) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2016-03-23 |