NPI | 1932593340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.148773) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A148128) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125066653) | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2022-01-31 |