NPI | 1902301849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 74027) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 21437) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-23 |
Last Update Date | 2023-08-21 |