NPI | 1033327556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 1917669) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35-093410) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT187895) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-07-19 |