| NPI | 1184369118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V7617) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10081536) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-07-17 |