| NPI | 1770877979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P9830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0039527) |
| 208000000X Pediatrics (Licence: TX P9830) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-03-20 |