| NPI | 1851859193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD0000065662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.073646) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2022-09-22 |