| NPI | 1891375176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD486352) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2026-02-03 |