| NPI | 1902434400 |
|---|---|
| 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: MO 2020016420) |
| 208000000X Pediatrics (Licence: KS 94-10341) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-06-24 |