| NPI | 1073603247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A53303) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 75763) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 199562) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-03-29 |