NPI | 1447229190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 266498) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 266498) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2013-03-26 |