| NPI | 1356579973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME135061) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 253681) |
| 208000000X Pediatrics (Licence: LA 203308) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA MD.203308) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2018-03-17 |