NPI | 1083140735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-00637) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 227073) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2020-06-15 |