| NPI | 1588070304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA MD.61237984) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 258247) |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: CT 54054) | |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: WA MD.61237984) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 258247) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-01-07 |