| NPI | 1124392022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MA 274802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P26520) |
| 208000000X Pediatrics (Licence: MA 274802) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2021-03-30 |