NPI | 1629483250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME131547) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 19688) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2022-02-27 |