NPI | 1417297789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35131020) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD207088) |
Enumeration Date | 2013-02-25 |
Last Update Date | 2018-10-19 |