NPI | 1922505486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: MS 28872) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2024-05-05 |