NPI | 1790363687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 103869) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1020279) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-31 |
Last Update Date | 2025-07-21 |