NPI | 1205351756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 0010-07481) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-08-06 |
Last Update Date | 2017-08-25 |