NPI | 1730118373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD419093) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419093) |
208000000X Pediatrics (Licence: NJ 25MA07452500) | |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA07452500) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2012-03-24 |