| NPI | 1750917670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 73500) |
| Additional Taxonomies | 2080P1004X Pediatrics, Physician Nutrition Specialist (Licence: PA MD494721) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-06-04 |