| NPI | 1225526916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2022-0062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 307268) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2023-07-15 |