| NPI | 1669975116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 91874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.38888) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2022-09-13 |