| NPI | 1730524901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-02654) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD20609) |
| 207R00000X Internal Medicine (Licence: FL ME132515) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-11-11 |