| NPI | 1689476210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2025018619) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-12409) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-06-23 |