NPI | 1457082729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116040432) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL87727) |
Enumeration Date | 2022-06-18 |
Last Update Date | 2025-06-18 |