NPI | 1407484801 |
---|---|
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: VA 0101277656) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2023-03-08 |