| NPI | 1265643167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MO 2016011487) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: AZ 44049) |
| 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: KS 04-38899) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-08-03 |