| NPI | 1619992344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2013-00408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-00408) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-12-18 |