| NPI | 1043796667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T1452) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TRN27740) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-03-21 |