NPI | 1972131993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.166172) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: NC 2025-02168) | |
Enumeration Date | 2020-03-27 |
Last Update Date | 2025-08-13 |