| NPI | 1477594992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OK 28114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00045522) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E5409) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-10-13 |