| NPI | 1891237061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2020-0947) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2016-0842) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2024-10-05 |