| NPI | 1699237248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 56641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.144445) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2022-10-23 |