| NPI | 1003480054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116038830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10075621) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2024-07-02 |