| NPI | 1730599879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301106197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301106197) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-06-02 |