NPI | 1124432984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME139986) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19203) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 139986) | |
208D00000X General Practice (Licence: PR 19203) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2022-12-30 |