| NPI | 1568966992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.152101) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036165490) |
| 208000000X Pediatrics (Licence: PA MD481781) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-02-21 |