| NPI | 1043831431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 95644) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 262244) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-06-16 |