| NPI | 1780988998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD460261) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0056932) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2022-07-21 |