| NPI | 1891284345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 71135) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-07-01 |