| NPI | 1750726329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD472298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 285943) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2022-10-17 |