NPI | 1275108177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD20712) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1018655) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-24 |
Last Update Date | 2025-07-16 |