| NPI | 1588831713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD189354) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 61371) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A102647) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA MD.60211358) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2021-03-25 |