| NPI | 1114556925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V3703) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX V3703) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-03-04 |