| NPI | 1558709501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 55899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2016-00689) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2025-03-27 |