| NPI | 1528564218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME169563) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 42402) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME169563) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-08-23 |