| NPI | 1043710221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 5101026208) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101026208) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2024-04-18 |