NPI | 1740415041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: PR 18394) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18394) |
208000000X Pediatrics (Licence: TX Q1683) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-05-16 |
Last Update Date | 2024-09-04 |