NPI | 1629420559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MS 30028) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-07-03 |
Last Update Date | 2022-08-25 |