| NPI | 1225456866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV DO3318) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A15619) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-07-31 |