| NPI | 1336381995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.121383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.121383) |
| 208000000X Pediatrics (Licence: NY 249806) | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2018-08-21 |