NPI | 1548569809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD222363) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD222363) |
208000000X Pediatrics (Licence: OH 35121374) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35121374) | |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 83735) | |
Enumeration Date | 2011-03-24 |
Last Update Date | 2024-10-24 |