| NPI | 1922616853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023026677) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MO 2023026677) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN31459) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-07-25 |