| NPI | 1548569809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 83735) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35121374) |
| 208000000X Pediatrics (Licence: OH 35121374) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2024-04-09 |