| NPI | 1578731873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: SC 37332) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 049140) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2014-08-14 |