| NPI | 1205332848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.160821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 72240-20) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 72240-20) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036.160821) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-06-29 |