| NPI | 1538400593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.120870) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.120870) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2022-07-21 |