| NPI | 1669904223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DE c7-0007338) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2021-10-31 |