NPI | 1619322831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA12005200) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A170498) |
208000000X Pediatrics (Licence: CA A170498) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2024-02-13 |