| NPI | 1982164976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1015969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11495700) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-07-25 |