NPI | 1093179657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 2022-01535) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: OH 57.028114) | |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT217792) | |
Enumeration Date | 2016-04-11 |
Last Update Date | 2024-03-05 |