NPI | 1487150298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME170407) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME170407) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME170407) | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2024-11-04 |