NPI | 1326304338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-9148) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 008250217) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2019-09-18 |