| NPI | 1154881886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD210002258) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: DC MD210002258) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-09-06 |