NPI | 1598260705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: CA 20A17916) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: CA 20A17916) | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2025-08-21 |