| NPI | 1891216586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS022241) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS17066) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO5767) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-01-24 |