| NPI | 1316189186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A143952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A143952) |
| 208000000X Pediatrics (Licence: TX P3406) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2018-06-01 |