| NPI | 1114779352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.084788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 25.084788) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 390200000X) | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-07-08 |