| NPI | 1205910734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: NC 2017-02631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2017-02631) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-07-15 |