| NPI | 1336645365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS0121587) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 58.030436) |
| 208000000X Pediatrics (Licence: PA OS021587) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2021-12-07 |