NPI | 1467986133 |
---|---|
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: NY 304312) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-04-16 |