NPI | 1902258932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.158543) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO05377) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R-10732) | |
Enumeration Date | 2016-07-01 |
Last Update Date | 2021-11-02 |