| NPI | 1528202876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA MD207657) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL 30515) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2015-11-05 |