NPI | 1093063349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 39450) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA a118017) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2016-06-15 |