| NPI | 1457393357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MT 55979) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101222038) |
| 208000000X Pediatrics (Licence: MT 55979) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-06-28 |