| NPI | 1326719485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-11604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023020708) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2023-06-19 |