NPI | 1073856977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MT203820) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD457087) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-29 |
Last Update Date | 2018-06-18 |