NPI | 1366466401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD058630L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD058630L) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2013-04-15 |