NPI | 1740624592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 10260138-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10260138-1205) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-24 |
Last Update Date | 2022-05-06 |