| NPI | 1922418201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105004) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105004) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |