| NPI | 1093081986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL OS16079) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 03869) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2021-03-30 |