| NPI | 1407599335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL87588) |
| 208000000X Pediatrics (Licence: WA MDRE.ML.70005485) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-07-07 |