| NPI | 1467742486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 270883) |
| Additional Taxonomies | 2080P1004X (Licence: MA 270883) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2025-05-28 |