NPI | 1437492287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL 150482) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 85426) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 28923101) | |
Enumeration Date | 2013-03-30 |
Last Update Date | 2024-08-14 |