| NPI | 1881004828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 066325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD15861) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-11-07 |