| NPI | 1689112476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 73935) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101265446) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2025-08-04 |