NPI | 1417374745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD477669) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD 1171995) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 64722) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-25 |
Last Update Date | 2022-11-09 |