| NPI | 1609851336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: SC 51271) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D0063257) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DC MD035516) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2019-05-03 |