| NPI | 1932593340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.148773) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A148128) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125066653) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-01-31 |