| NPI | 1255863742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 1255863742) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 1255863742) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0000000000000) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-05-31 |