| NPI | 1457346231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: IA 36059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 36059) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2015-06-05 |