NPI | 1154613289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NV 16552) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 072391) |
2080A0000X Pediatrics, Adolescent Medicine (Licence: NV 16552) | |
208M00000X Hospitalist (Licence: NV 16552) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-08 |
Last Update Date | 2021-08-30 |