NPI | 1104312180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 25868) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD475719) | |
Enumeration Date | 2018-07-02 |
Last Update Date | 2024-06-16 |