| NPI | 1558001974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A203805) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR0075782) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-07-12 |