| NPI | 1639226442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: LA MD.208090) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: AR E-7508) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-09-11 |