NPI | 1679138374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 74029) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 74029) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-08 |
Last Update Date | 2023-05-05 |