| NPI | 1043849482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 336250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125077088) |
| 208000000X Pediatrics (Licence: IL 036164031) | |
| 208000000X Pediatrics (Licence: NY 336250) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-06-30 |