| NPI | 1568728467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 4003-320) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 62723) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 62723) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-04-03 |