| NPI | 1639669047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP05516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 287136) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-05-26 |