| NPI | 1992019269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 293149) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 20919) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 12701-I) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2018-08-07 |