| NPI | 1932580321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 19873) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 13770-I) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-11-26 |