NPI | 1427768779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351049202) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A195620) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A195620) | |
Enumeration Date | 2022-11-28 |
Last Update Date | 2024-06-25 |