| NPI | 1902920655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301083574) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MI 4301083574) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083574) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-18 |