| NPI | 1578648200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC md038434) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO 26970) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-03-15 |