| NPI | 1972244283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 57.253028) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: NJ 25MA12583300) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2025-04-04 |