NPI | 1255697850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A147981) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A147981) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2018-09-06 |