| NPI | 1619700143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 26NR21818500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 26NR21818500) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |