| NPI | 1275108177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD20712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1018655) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-07-16 |