| NPI | 1699297796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S4325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036150875) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-07-02 |