| NPI | 1164443974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200201106) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD422475) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD422475) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-12-13 |