| NPI | 1275021263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 100851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2021-02135) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 239097) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-08-30 |