NPI | 1174815609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TN 55600) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 46760) |
2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MS 24948) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-02 |
Last Update Date | 2024-05-30 |