| NPI | 1518223932 |
|---|---|
| Former Name | KALEENA CHARTRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 280041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 280041) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2018-10-01 |