NPI | 1366861312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 317223) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102204738) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-07 |
Last Update Date | 2022-06-16 |