| NPI | 1548840002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 85757) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: SC LL85757) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2024-06-12 |