NPI | 1306226709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11277900) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: NY 294269) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2022-08-09 |