NPI | 1225376346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX p5298) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX p5298) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2015-10-09 |