| NPI | 1689124042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 68085) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 68085) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NH 19006) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2023-04-25 |