NPI | 1346210572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 30015) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 53445-20) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MN 30015) | |
208000000X Pediatrics (Licence: MN 30015) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2024-01-10 |