NPI | 1518487503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2020013158) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020013158) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2024-04-25 |