NPI | 1366061228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD500002966) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD481003) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-10 |
Last Update Date | 2024-07-09 |