| NPI | 1306112883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: NM MD2015-0099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2015-0099) |
| 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 270570) | |
| 208D00000X General Practice (Licence: FL ME147195) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-10-19 |