NPI | 1639675523 |
---|---|
Former Name | BRITTANY SIEGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MB12333900) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB12333900) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 58.030433) | |
Enumeration Date | 2018-04-01 |
Last Update Date | 2024-09-10 |