NPI | 1528564218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL 42402) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL 42402) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2021-07-22 |