NPI | 1154883759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 65847) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10066835) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 65847) | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2023-07-03 |