NPI | 1629530753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA OS022041) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS022041) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-06 |
Last Update Date | 2025-07-24 |