| NPI | 1346459658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA MD00046262) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT189790) |
| 208000000X Pediatrics (Licence: WA MD00046262) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-05-24 |