NPI | 1861926883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 68072) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 68072) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-17 |
Last Update Date | 2024-06-24 |