| NPI | 1063855658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 270491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.127385) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2021-03-25 |