NPI | 1386209732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-00793) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250640) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2023-07-12 |