| NPI | 1154883759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 65847) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10066835) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 65847) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-07-03 |