| NPI | 1750647525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 264939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 264939) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 264939) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2018-03-27 |