| NPI | 1134738230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 328194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351046543) |
| 208000000X Pediatrics (Licence: NM MD2023-1138) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2025-05-01 |