| NPI | 1255906996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 79090) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 78328-RES) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-10-01 |