| NPI | 1093212383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2024009534) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-04-17 |