NPI | 1467046805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA 61548154) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 38171) |
Enumeration Date | 2021-02-25 |
Last Update Date | 2024-06-12 |