| NPI | 1740308428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-42164) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: VT 0600003515) | |
| 208000000X Pediatrics (Licence: WA 60217701) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-12-01 |