NPI | 1902368764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX T2383) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX T2383) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-02 |
Last Update Date | 2025-08-07 |