| NPI | 1790148914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 70529) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 107775809) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-11-25 |