NPI | 1316156961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D69135) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D69135) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2017-10-20 |