| NPI | 1376395889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0018594) |
| 208000000X Pediatrics (Licence: PA MT232065) | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-06-20 |