NPI | 1760002216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2024-00684) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-00684) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 261105) | |
Enumeration Date | 2020-04-24 |
Last Update Date | 2024-11-06 |