| NPI | 1528646916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2024-0409) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12985207-1205) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-06-21 |