| NPI | 1235486416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OK 5813) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q1300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2023-03-07 |