| NPI | 1942761119 |
|---|---|
| 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: NY 317639) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-07-06 |