| NPI | 1538517792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME141767) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.068447) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME141949) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.068447) | |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2020-10-20 |