| NPI | 1306055744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 77616) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093447) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.093447) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2017-04-12 |