| NPI | 1598392169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: PA MT231153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.076138) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-05-28 |