| NPI | 1881956498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 101260867) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454602) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2018-08-15 |