| NPI | 1205062189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TX Q4363) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: FL ME136162) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2019-11-14 |