| NPI | 1881803807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9760) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017392) |
| 208000000X Pediatrics (Licence: VA 0101243322) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-05-13 |