NPI | 1154386076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 37192) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA C164947) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C164947) | |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-10476) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2021-10-20 |