NPI | 1164088142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036164411) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: IL 125075520) | |
Enumeration Date | 2019-05-15 |
Last Update Date | 2023-04-19 |