NPI | 1649857921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 0536) |
Enumeration Date | 2021-03-24 |
Last Update Date | 2023-02-13 |