| NPI | 1497318687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 85121) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: NC 2022-00694) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-04-16 |