| NPI | 1548822737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 294735) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MTL005255) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2022-12-03 |