| NPI | 1245895937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD478834) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MT224851) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2025-04-11 |