| NPI | 1174758296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 50521) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN md0000050521) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2022-03-16 |