NPI | 1942629704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 143321) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 143321) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2024-04-28 |