NPI | 1801153358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: UT 8771414-1205) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-04-20 |
Last Update Date | 2018-07-16 |