| NPI | 1982864955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452078) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 236241) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2014-08-12 |