NPI | 1114419314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 66120) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 29596) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2024-08-06 |