| NPI | 1952896078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0116031939) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 288029) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116031939) | |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2021-08-13 |