| NPI | 1285996322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL OS15951) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0005845) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 70100) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-05-20 |