| NPI | 1043742562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2026-01165) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 169761) |
| 208000000X Pediatrics (Licence: NM MD2024-0913) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: OR MD206029) | |
| 208000000X Pediatrics (Licence: CA A169761) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2026-04-08 |