| NPI | 1730528068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 55761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 256055) |
| 208000000X Pediatrics (Licence: MA 265354) | |
| 208000000X Pediatrics (Licence: CT 55761) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2021-06-15 |