| NPI | 1861783755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: FL ME155927) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: VA 0101269072) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2022-10-18 |