| NPI | 1780323501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 293821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 293821) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-01-17 |