| NPI | 1356502520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: CA A140223) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OH 35095474) |
| 208000000X Pediatrics (Licence: CA A140223) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2016-01-28 |