NPI | 1912438094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD470120) |
208000000X Pediatrics (Licence: IL 036.160071) | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2022-08-04 |