NPI | 1598110033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 81029) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 81029) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-03 |
Last Update Date | 2022-10-07 |