| NPI | 1750670600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0439609) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: LA 300521) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2017-04-27 |