| NPI | 1639872021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0106939) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 9314) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-05-11 |