NPI | 1023461696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA a162292) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA a162292) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-07-19 |
Last Update Date | 2022-12-13 |