| NPI | 1366616500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 70540) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 70540) |
| 208000000X Pediatrics (Licence: OH 35.096051) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD444193) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2019-07-22 |