| NPI | 1942596606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-17071) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124572) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-08-12 |