| NPI | 1518191204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2015-00920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2015-00920) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2024-08-05 |