| NPI | 1720424039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CT 55213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 55213) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT212766) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-07-15 |