| NPI | 1396374484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM DO2023-1021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM DO2023-1021) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-06-20 |