| NPI | 1063916054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS022081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV DO2948) |
| 208000000X Pediatrics (Licence: NV SL1310) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2022-11-27 |