NPI | 1376037242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT215087) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2022-05-16 |