| NPI | 1578069837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 16061A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 16061A) |
| 207R00000X Internal Medicine (Licence: LA 331169) | |
| 208000000X Pediatrics (Licence: LA 331169) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-08-30 |