| NPI | 1184980864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 264920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60292804) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2018-06-14 |