| NPI | 1265775423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS018918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB09924400) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-02-10 |