| NPI | 1366497679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: RI 08258) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 223274) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-04-23 |