| NPI | 1831682905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 72139) |
| 208000000X Pediatrics (Licence: PA MT214823) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-01-10 |