| NPI | 1528296324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MO 2013018916) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013018916) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-07-10 |