| NPI | 1962866301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D91140) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: DC MD9911303) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-09-16 |