| NPI | 1548621436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: NC 2021-03217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.149726) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2022-01-21 |