| NPI | 1811420896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH TC365402) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.152144) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-05-04 |