| NPI | 1518250380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 286770) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME132668) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 32811) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2022-01-06 |