| NPI | 1457960916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-20626) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX V0503) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2026-08-07 |