| NPI | 1689229072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R-11456) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-11456) |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2022-05-10 |