| NPI | 1356846554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD475477) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MT222213) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-06-19 |