NPI | 1326164179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 218752) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 218752) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2015-06-08 |