NPI | 1316333859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: WI 66899) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 66899-20) |
Enumeration Date | 2015-04-11 |
Last Update Date | 2023-06-12 |