NPI | 1730684952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME170466) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0066772) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2024-09-04 |