| NPI | 1033573373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A151066) |
| 208000000X Pediatrics (Licence: MD D0092810) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2025-04-11 |