| NPI | 1487150298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME170407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME170407) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME170407) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-11-04 |