NPI | 1710220108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 301613) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289037) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2020-03-13 |