| NPI | 1851594543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 202500544) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD217587) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301090174) | |
| 208000000X Pediatrics (Licence: MI 4301090174) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090174) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2026-03-06 |