| NPI | 1043303076 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX M7324) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 44585) | 
| Enumeration Date | 2006-10-02 | 
| Last Update Date | 2021-04-12 |