NPI | 1578849642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ TP01573) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 20816) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 58936) | |
208000000X Pediatrics (Licence: PR 12972I) | |
Enumeration Date | 2011-11-02 |
Last Update Date | 2024-07-12 |