| NPI | 1467863431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: AL 48973) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME130517) |
| 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OK 37876) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-06-12 |