| NPI | 1720518905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME140692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME140692) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-05-02 |