| NPI | 1194404947 |
|---|---|
| Professional Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT230050) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT230050) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2026-06-08 |