| NPI | 1306426325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD H0104468) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 328685-01) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2026-01-21 |