NPI | 1801201801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A197868) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 60298) |
Enumeration Date | 2014-06-27 |
Last Update Date | 2024-10-15 |