| NPI | 1881498954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 58.034651) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 58.034651) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |