NPI | 1245792878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.016667) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: OH 34.016667) | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2023-12-19 |