NPI | 1215558499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD481018) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MT220666) | |
Enumeration Date | 2020-04-29 |
Last Update Date | 2023-07-15 |