| NPI | 1265993786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD H0094144) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102207091) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116032986) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-06-03 |