NPI | 1386966331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS016448) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC OS016448) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-02-18 |
Last Update Date | 2020-08-06 |