| NPI | 1518148915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX Q8708) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 60230) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 60230) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q8708) | |
| 208000000X Pediatrics (Licence: MI 4301089612) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2019-08-28 |