NPI | 1447663919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A167506) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301104980) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2022-11-03 |