| NPI | 1720215155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101272443) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01068685A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2023-05-09 |