| NPI | 1770894438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME115811) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT196440) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-09-10 |