NPI | 1104406081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN41535) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-24511-0) |
Enumeration Date | 2021-04-13 |
Last Update Date | 2025-06-25 |