| NPI | 1124098538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 208031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 208031) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-10-02 |