NPI | 1336351717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A100338) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A100338) |
Enumeration Date | 2007-05-05 |
Last Update Date | 2018-05-22 |