| NPI | 1811188436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN DO2189) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WV 2331) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-09-12 |