NPI | 1689794398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101254221) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.089723) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NH 14453) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2021-11-05 |