| NPI | 1265937262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10086945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 010609) |
| 208000000X Pediatrics (Licence: NJ 25MA11220700) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-06-28 |