| NPI | 1669977591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A166552) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A166552) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2022-07-01 |