| NPI | 1003298167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D91603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208979) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2021-09-10 |