| NPI | 1669105391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10079006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01094948A) |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2025-06-17 |