NPI | 1255868352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D0099956) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 40929) |
Enumeration Date | 2017-05-19 |
Last Update Date | 2024-07-12 |