| NPI | 1912430463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD471586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11615200) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-03-27 |