| NPI | 1336785435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 23836) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 35851R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2025-08-29 |