NPI | 1184980864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 264920) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60292804) |
Enumeration Date | 2012-04-06 |
Last Update Date | 2018-06-14 |