NPI | 1114389814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0087262) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD047352) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2021-09-22 |