| NPI | 1134789423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 85928-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 85928-20) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044740) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-06-23 |