NPI | 1598347189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX V0077) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO4856) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2024-07-01 |