| NPI | 1225659345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 205442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61445722) |
| 208000000X Pediatrics (Licence: PA MT221095) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-10-21 |