| NPI | 1326309840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME120981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7006471205) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL me120981) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-07-01 |