NPI | 1023307865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NE 27018) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 27018) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-01 |
Last Update Date | 2023-08-07 |