| NPI | 1154343226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD041917L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD041917L) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-03-26 |