| NPI | 1972794345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 243182) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2011-12-14 |