| NPI | 1891007464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 54576) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: MA 245039) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD448599) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2016-03-08 |