NPI | 1871053421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 305502) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 305502) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2024-03-17 |