| NPI | 1902105513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 269930-1) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: SC 37272) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2016-03-24 |