NPI | 1326304346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 04288) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9394945-1204) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-03 |
Last Update Date | 2018-06-21 |