| NPI | 1649739988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61296052) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: MO 2020031769) | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2023-11-28 |