| NPI | 1295032472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME128556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 254437) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2016-06-01 |