| NPI | 1699235200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS18629) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO6695) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO6695) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2022-06-13 |