| NPI | 1174938146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DC MD045288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116027412) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D92648) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-04-28 |