| NPI | 1144638610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: CO DR.0056336) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2022-07-21 |