| NPI | 1568091437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0007434) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: PA OT020141) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-01-03 |