| NPI | 1962780080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101274180) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME132650) |
| 208000000X Pediatrics (Licence: MA 251419) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 251419) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 33614) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME132650) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2024-12-31 |