NPI | 1316488760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX s5780) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX s5780) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-18 |
Last Update Date | 2023-03-14 |