| NPI | 1629691613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151014433) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5151014433APP20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2023-07-14 |