| NPI | 1871146621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME162438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04949) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-06-27 |