NPI | 1538501937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME151475) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME151475) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-25 |
Last Update Date | 2021-10-13 |