NPI | 1942706528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 32178) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 32178) |
208D00000X General Practice (Licence: NE 32178) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-08-26 |