| NPI | 1437880614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 9368) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 2830) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2026-04-30 |