| NPI | 1245735299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1018197) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI DO01110) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-02-15 |