| NPI | 1417480930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 74335) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A157263) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A157263) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-08-26 |