| NPI | 1366953218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 23962) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 147571) |
| 208000000X Pediatrics (Licence: VA 0102207206) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2024-01-26 |