NPI | 1285085928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA 61262003) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA 61262003) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2024-01-25 |