| NPI | 1427179423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 50859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 50859) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 097177) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-14 |