| NPI | 1528417953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM A-2291-19) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL39350) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-09-13 |