NPI | 1548587199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD469715) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD469715) |
Enumeration Date | 2010-04-22 |
Last Update Date | 2021-09-02 |