NPI | 1043303076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX M7324) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 44585) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2021-04-12 |