| NPI | 1245793371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.015939) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: TN 0000004238) | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2026-08-11 |