| NPI | 1558569764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA MD.025783) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35090026) |
| 208000000X Pediatrics (Licence: LA MD.025783) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-10-25 |