NPI | 1619472156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301505096) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.246625) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2021-07-28 |