| NPI | 1770938045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 21248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 33125) |
| 208000000X Pediatrics (Licence: PR 33811) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-03-02 |