| NPI | 1134369903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2021-02831) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME117396) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A101371) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD439727) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2021-12-21 |