| NPI | 1194102616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME140054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A175427) |
| 208000000X Pediatrics (Licence: FL ME140054) | |
| 208000000X Pediatrics (Licence: CA A175427) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-09-28 |