NPI | 1831162726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C167221) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD065329L) |
208000000X Pediatrics (Licence: CA C167221) | |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2015043458) | |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 04-38745) | |
Enumeration Date | 2006-02-10 |
Last Update Date | 2024-04-10 |