| NPI | 1043503691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX R4695) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 272749) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 272749) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2021-08-11 |