NPI | 1578585204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA 07142R) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 07142R) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2013-04-03 |