| NPI | 1356847891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 69541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101271828) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101271828) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101271828) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-01-10 |