| NPI | 1831509421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: CA A138324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A138324) |
| 208000000X Pediatrics (Licence: CA A138324) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-09-07 |