| NPI | 1972207439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 5762) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0106933) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2026-07-02 |