| NPI | 1316683725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 80898) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: VT 042.0040309) | |
| 208000000X Pediatrics (Licence: NY 344374) | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2026-06-10 |