NPI | 1003377599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101271085) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101271085) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2023-09-18 |