| NPI | 1407099849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME127948) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.205648) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2026-01-23 |