NPI | 1093212748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 332552) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 332552) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2022-08-31 |