NPI | 1093127029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0073393) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN19703) |
208000000X Pediatrics (Licence: FL ME131087) | |
208M00000X Hospitalist (Licence: FL ME131087) | |
Enumeration Date | 2014-05-26 |
Last Update Date | 2024-10-29 |