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 |