NPI | 1265643167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2016011487) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 44049) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 04-38899) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2016-08-03 |