| NPI | 1477828465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.123182) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD449257) |
| 208000000X Pediatrics (Licence: AZ 55190) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 55190) | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2021-07-07 |