| NPI | 1477292415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 84547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1027910) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-28 |
| Last Update Date | 2026-06-17 |