| NPI | 1255990735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD214540) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OK 39581) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64121) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-06-05 |