NPI | 1174882047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A153410) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA A153410) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IA MD42465) | |
Enumeration Date | 2012-05-11 |
Last Update Date | 2024-04-10 |