| NPI | 1912240201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX S6834) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C1-0012984) |
| 208000000X Pediatrics (Licence: MD D81212) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101270705) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-10-07 |