NPI | 1508126921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 52880) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: MS 23902) | |
Enumeration Date | 2012-05-18 |
Last Update Date | 2015-06-29 |