| NPI | 1619084365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 044227) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 044227) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-08-26 |