| NPI | 1548569809 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD222363) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD222363) | 
| 208000000X Pediatrics (Licence: OH 35121374) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35121374) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 83735) | |
| Enumeration Date | 2011-03-24 | 
| Last Update Date | 2024-10-24 |