NPI | 1104068022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 54270) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 260390) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2015-06-23 |