| NPI | 1407051527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME101395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 127907) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME 101395) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2011-09-15 |