| NPI | 1699238758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V3281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2022-01780) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2024-08-23 |