| NPI | 1548529183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: AZ 50284) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OH 128433) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2019-08-23 |