NPI | 1487151296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 79658) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC PENDING) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-11-04 |