NPI | 1992901003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO DR.0059319) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA 448754) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2018-03-17 |