NPI | 1194309971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD19806) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI CLP05232) |
Enumeration Date | 2021-05-08 |
Last Update Date | 2024-07-02 |