NPI | 1194130930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 60981) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 60981) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2020-06-23 |