NPI | 1225327174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME169340) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: KY 47488) | |
Enumeration Date | 2011-03-31 |
Last Update Date | 2025-07-30 |