| NPI | 1194130872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301111714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301111714) |
| 208000000X Pediatrics (Licence: IL 125.065476) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2020-08-12 |