NPI | 1376986125 |
---|---|
Former Name | ABIGAIL PATRICIA VAN WYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101259927) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-11 |
Last Update Date | 2023-08-10 |