| NPI | 1114578853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: FL 9112532) |
| 363A00000X Physician Assistant (Licence: FL 9112532) | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-04-14 |