| NPI | 1194929224 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PR 17547) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 17547) | 
| Enumeration Date | 2007-06-13 | 
| Last Update Date | 2021-04-05 |