| NPI | 1790213924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD482161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 30506301) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-08-25 |