| NPI | 1265061188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.147467) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-06-25 |