NPI | 1295255198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: ME MD29513) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD29513) |
208000000X Pediatrics (Licence: RI LP04103) | |
Enumeration Date | 2017-06-21 |
Last Update Date | 2025-07-02 |