| NPI | 1477871333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX M6953) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD439542) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD439542) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2012-08-01 |