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 | 2018-05-09 |