| NPI | 1407062219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.130886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT189545) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-10-19 |