NPI | 1588804082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: HI DOS-1211) |
Additional Taxonomies | 208D00000X General Practice (Licence: HI DOS-1211) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-02-24 |
Last Update Date | 2022-01-06 |