NPI | 1285921130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A155183) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101252434) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-29 |
Last Update Date | 2018-08-13 |