| NPI | 1396278651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 89618) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.138487) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-09-13 |