| NPI | 1982924312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL 120776) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN14989) |
| 208000000X Pediatrics (Licence: NY 270073-1) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2016-06-16 |