NPI | 1669714150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2020-02813) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289036) |
208000000X Pediatrics (Licence: NV DO2094) | |
Enumeration Date | 2013-03-22 |
Last Update Date | 2021-03-15 |