NPI | 1386176345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD24809) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: ME MD24809) | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2021-05-25 |