| NPI | 1891395000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021021538) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9410725) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2024-04-30 |