| NPI | 1861134934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V8431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 0000) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2025-07-07 |