| NPI | 1164743555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA R - 8991) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX Q9688) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2023-06-14 |