| NPI | 1407484801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 261361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0100906) |
| 208000000X Pediatrics (Licence: VA 0101277656) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-10-14 |