| NPI | 1225666407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U3144) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 710019) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-06-21 |