| NPI | 1346981586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301514354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351049473) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2025-06-18 |