NPI | 1912496522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 323017) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 67567) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-09 |
Last Update Date | 2023-07-03 |