| NPI | 1306259791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA MD61052083) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD461215) |
| 208000000X Pediatrics (Licence: NJ 25MA10118600) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-11-09 |