| NPI | 1780021451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.137318) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 192323) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 192323) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-10-13 |