| NPI | 1316566128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME172288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME172288) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2025-07-27 |