| NPI | 1194932145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: NV D01617) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH TC58002004) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-11-01 |