| NPI | 1255969416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD481180) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: RI LP05001) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-06-29 |