| NPI | 1619397809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E17527) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.34523) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2024-03-18 |