| NPI | 1801114574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A148243) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268004) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2021-12-15 |