| NPI | 1407995434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 68456) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2006-0243) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR 100932) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-01-15 |