| NPI | 1457360422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX M7846) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 115153) |
| 208000000X Pediatrics (Licence: MO 115153) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-11-10 |