NPI | 1093809659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G48774) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G 48774) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2023-08-04 |