| NPI | 1710234521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 281366) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2024-09-06 |