NPI | 1740228865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301072593) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301072593) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2017-01-13 |