NPI | 1447548243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL OS12728) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS12728) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO2906) | |
Enumeration Date | 2011-07-13 |
Last Update Date | 2018-09-11 |