NPI | 1649590662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35121029) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: CA 141489) | |
Enumeration Date | 2010-06-02 |
Last Update Date | 2016-12-14 |