| NPI | 1821592155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A186619) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: FL ME156022) | |
| 207R00000X Internal Medicine (Licence: FL ME156022) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-05-20 |