NPI | 1679629299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2007015931) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007015931) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2010-09-02 |