| NPI | 1346869278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 324057-01) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 244202) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2026-06-29 |