NPI | 1508443201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036166413) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125078938) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-27 |
Last Update Date | 2024-04-01 |