| NPI | 1851965784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 176805) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 23195) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2025-11-03 |