NPI | 1043849482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036164031) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125077088) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-06-12 |