NPI | 1093000796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 59980) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036136157) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 174501) | |
Enumeration Date | 2011-06-10 |
Last Update Date | 2022-03-29 |