| NPI | 1326499591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 319341) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101275057) |
| 208000000X Pediatrics (Licence: AZ 58683) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-03-23 |