NPI | 1508445974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD484648) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA FT3921841) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2024-06-11 |