NPI | 1851595045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: HI 15172) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI 5049) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2021-09-22 |