| NPI | 1386807857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME134709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD443161) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10039246) | |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2018-03-17 |