| NPI | 1063640308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO DR.0063688) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2012013481) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2020-07-14 |