| NPI | 1235357708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301079789) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD12288) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: RI MD12288) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-10-22 |