| NPI | 1063999357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 71811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 15177) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-06-28 |