| NPI | 1053817502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01083813A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: PA OS023907) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-09-11 |