NPI | 1467957548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301506711) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101271899) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101271899) | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2022-07-11 |