| NPI | 1801356233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: FL ME173591) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 317489) | |
| 208000000X Pediatrics (Licence: FL ME173591) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-08-08 |