| NPI | 1114422946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0071297) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM A-2507-21) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2023-07-19 |