| NPI | 1407469000 |
|---|---|
| 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: FL TRN39927) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2026-08-19 |