| NPI | 1851820781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT213837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD470195) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-06-22 |