NPI | 1366928210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 1688522) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.140558) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.245377) | |
Enumeration Date | 2018-07-13 |
Last Update Date | 2022-01-04 |