| NPI | 1194309971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD19806) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI CLP05232) |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2024-07-02 |