| NPI | 1528599727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD-20200048) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0006689) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2020-0048) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-05-11 |