NPI | 1972958122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A161852) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A161852) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2024-04-10 |