| NPI | 1629657689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A183640) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PTL6491) | |
| 208000000X Pediatrics (Licence: CA PTL6491) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-05-13 |