| NPI | 1962856146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME140162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME140162) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL W520-880-90-755-0) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-01-08 |