| NPI | 1902258932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.158543) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO05377) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R-10732) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2021-11-02 |