| NPI | 1356504120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 65611) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VT 042.0012876) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO 50136) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-07-09 |