NPI | 1578839395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2016-00092) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2016-00092) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2018-06-07 |