| NPI | 1386684470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00043967) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: WA MD00043967) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-12-03 |