| NPI | 1538553060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MT215535) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: ME MD24761) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2021-09-14 |