| NPI | 1912494071 |
|---|---|
| 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: NJ 25MB11165300) |
| 208000000X Pediatrics (Licence: PA OS022188) | |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2023-02-06 |