NPI | 1699983825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL 28550) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL 28550) |
Enumeration Date | 2007-05-20 |
Last Update Date | 2011-12-09 |