NPI | 1093039034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NJ 25MA09914900) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: NJ 25MA09914900) | |
Enumeration Date | 2010-03-19 |
Last Update Date | 2016-08-03 |