| NPI | 1053871160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 032-0134016) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: VT 032.1034016) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2022-08-16 |