| NPI | 1578736278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA OS015164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS015164) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA OT013352) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2013-05-10 |