| NPI | 1902467509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0102209430) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102209430) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: ID O-1425) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-09-01 |