| NPI | 1770154262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024025985) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024012647) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2021016219) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-07-05 |