NPI | 1043697113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A151555) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A151555) |
2080B0002X Pediatrics, Obesity Medicine (Licence: CA A151555) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-28 |
Last Update Date | 2021-08-05 |