NPI | 1235510900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 72416) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2018019982) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 311549) | |
Enumeration Date | 2015-06-17 |
Last Update Date | 2023-02-10 |