| NPI | 1871113795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036165656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.076529) |
| 208000000X Pediatrics (Licence: IL 125076529) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-08-07 |