NPI | 1134104615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 243111) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 243111) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2020-05-29 |