| NPI | 1104406081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN41535) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-24511-0) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-06-25 |