| NPI | 1093276123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T1877) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-08-09 |