| NPI | 1912551151 |
|---|---|
| Former Name | HANNAH REBECCA LIVELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A178376) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-04-17 |