| NPI | 1063851186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036.153774) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 267193) |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: OH 35.135968) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2021-02-24 |