NPI | 1457795494 |
---|---|
Former Name | ANDREA GOOSSENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: UT 10816597-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 271436) |
Enumeration Date | 2013-04-22 |
Last Update Date | 2021-11-20 |