NPI | 1629242292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2008017881) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 0435264) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2011-10-04 |