| NPI | 1922272954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9233) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N9233) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10031023) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2022-02-18 |