| NPI | 1164069415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2024-01157) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: AL MD.45375) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2024-06-06 |