| NPI | 1447838214 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12994414-1205)  | 
| Enumeration Date | 2021-03-31 | 
| Last Update Date | 2024-06-06 |