| NPI | 1669892295 |
|---|---|
| Former Name | KEREN L DALLALZADEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A147603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A147603) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-08-20 |