NPI | 1710291562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0010569) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 290150) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-08-04 |
Last Update Date | 2023-01-20 |