| NPI | 1881258879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MI 5101028608) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2025-08-15 |