| NPI | 1205351756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 0010-07481) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2017-08-25 |