| NPI | 1285026617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101276757) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0094915) |
| 208000000X Pediatrics (Licence: IL 036.152410) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-12-07 |