| NPI | 1932683406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A185842) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WA ML61060001) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-09-24 |