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 |