| NPI | 1992061683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO214557) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015041873) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2023-03-13 |