| NPI | 1467956961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 70516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN27117) |
| 208000000X Pediatrics (Licence: FL ME148722) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-05-22 |