| NPI | 1659957074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 302727) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 302727) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2023-04-21 |