| NPI | 1699036038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME DO2778) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: DC DO034514) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2018-09-18 |