NPI | 1952964116 |
---|---|
Former Name | AMALIA ISELDA OSBORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-00803) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250618) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2024-03-19 |