NPI | 1538454566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD451889) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D0093050) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2021-12-03 |