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 |