| NPI | 1083792105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX M2761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M2761) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-11-20 |