NPI | 1437786944 |
---|---|
Former Name | VICTORIA RODGERS |
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: CA A187106) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2023-07-19 |