NPI | 1013443480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 97229) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 227179) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2025-01-09 |