| NPI | 1932466570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0068446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a127951) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-05-24 |