| NPI | 1902124423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 260759) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL BF4649604A541) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2022-11-21 |