| NPI | 1154438067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 35868) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 35868) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-03-07 |