NPI | 1427541754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME152619) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX V0029) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2025-04-03 |