NPI | 1700027653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-095434) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN10946) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2017-09-18 |