| NPI | 1982347399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME175684) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A189574) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-07-21 |