| NPI | 1104266931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DE C1-0012673) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C1-0012673) |
| 208000000X Pediatrics (Licence: CA A140317) | |
| 208000000X Pediatrics (Licence: DE C1-0012673) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD468912) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-04-19 |