NPI | 1578849642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 73164) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 73164) |
Enumeration Date | 2011-11-02 |
Last Update Date | 2024-11-15 |