NPI | 1689106775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 304224) |
208000000X Pediatrics (Licence: NJ 25MA11957200) | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2024-04-10 |