NPI | 1861788101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD168562) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2011018538) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2014-12-22 |