| NPI | 1295169480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 265693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 265693) |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2016-06-13 |