| NPI | 1649628124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME142061) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: FL 142061) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-01-31 |