NPI | 1356769467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 65436) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD461644) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2019-06-10 |