| NPI | 1457575011 |
|---|---|
| Former Name | SIOBHAN O'CONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00442) |
| 208000000X Pediatrics (Licence: NC 2010-00442) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-04-12 |