NPI | 1548757206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA OP61262603) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MTL005387) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2025-05-16 |