NPI | 1255101408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: DC MD500002858) |
Additional Taxonomies | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: NY 001960-1) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DC MD500002858) | |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-08-05 |