NPI | 1609132232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MS 26164) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 55220) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-09 |
Last Update Date | 2021-06-07 |