| NPI | 1528246717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2010027801) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088375) |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2014-03-13 |