| NPI | 1073018693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0017584) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.246576) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2021-06-30 |