| NPI | 1801116140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME135882) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 076797) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.121282) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI 5866) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-08-05 |