NPI | 1811066244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD429443) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD429443) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2015-03-10 |