| 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 |