| NPI | 1629034665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 350782421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35072421) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-11-04 |