NPI | 1104261296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A134222) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: CA A1344222) | |
Enumeration Date | 2013-05-03 |
Last Update Date | 2022-03-02 |