| NPI | 1285994921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MT MED-PHYS-LIC-92335) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-92335) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2018-00788) | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2021-02-03 |