| NPI | 1386886935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301106985) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.096473) |
| 208000000X Pediatrics (Licence: MI 4301106985) | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2015-07-27 |