NPI | 1306334628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME166260) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036156549) |
390200000X Student in an Organized Health Care Education/Training Program | |
208000000X Pediatrics (Licence: IL 036156549) | |
Enumeration Date | 2018-04-23 |
Last Update Date | 2024-05-15 |