NPI | 1932236387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 238917) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-228692) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2015-04-28 |