NPI | 1194716761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME90516) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 224131) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2016-05-16 |