| NPI | 1386904373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NH 19903) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100437) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2019-10-04 |