| NPI | 1033670427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 66182) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 250759) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 0000066182) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-03-15 |