NPI | 1659544229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD442520) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE c7-0004070) |
208000000X Pediatrics (Licence: PA MT192512) | |
390200000X Student in an Organized Health Care Education/Training Program | |
208000000X Pediatrics (Licence: DE C1-0009990) | |
Enumeration Date | 2008-04-03 |
Last Update Date | 2012-12-19 |