NPI | 1508325309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 104150) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 104150) |
208000000X Pediatrics (Licence: TX T7294) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2025-09-09 |