| NPI | 1811239288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.139462) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: NC 2016-00971) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-06-09 |