| NPI | 1740518448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35-098892) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.016918) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 57293-20) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2015-12-23 |