| NPI | 1417297789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OH 35131020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD207088) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2018-10-19 |