| NPI | 1790206787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 337530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-02874) |
| 208000000X Pediatrics (Licence: LA 337530) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-01-16 |