| NPI | 1801203096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY P05837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125064642) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2022-07-21 |