NPI | 1629694088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301514136) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351049380) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-06-22 |
Last Update Date | 2025-08-12 |