| NPI | 1437714003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2025-02182) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250628) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2026-04-16 |