| NPI | 1043441645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX Q4842) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT195304) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DC MD040335) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2016-02-02 |