| NPI | 1720405202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.139553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 50140) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 50140) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-10-07 |