| NPI | 1942590328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD173312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 51891) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2023-12-29 |