NPI | 1740785138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 334315) |
207R00000X Internal Medicine (Licence: LA 334315) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-03-29 |