NPI | 1538126453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MO 2004001628) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2004001628) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2012-09-04 |