| NPI | 1083100416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021025593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021014486) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2021-07-05 |