NPI | 1003377425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 293764) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 293764) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-28 |
Last Update Date | 2022-09-20 |