NPI | 1790216356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: PA MD483490) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-24 |
Last Update Date | 2024-11-29 |