NPI | 1295122281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AL 38406) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: AL 38406) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2024-02-01 |