| NPI | 1285018788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: WI 664575) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OK 33638) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-04-24 |