| NPI | 1861886392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA OS019217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS019217) |
| 208000000X Pediatrics (Licence: AZ 008383) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-08-27 |