| NPI | 1164683967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD25564) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101261046) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2024-02-05 |