NPI | 1841679628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA11866300) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 298300) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-26 |
Last Update Date | 2024-09-04 |