| NPI | 1235872334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 104574) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 104574) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2026-02-03 |