NPI | 1861785552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME119856) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 16300) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2015-07-13 |