NPI | 1184948739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: GA 80205) |
Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: ID M-15272) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-03-24 |
Last Update Date | 2021-04-13 |