| NPI | 1659692895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 243929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-243929) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VT 042-0014532) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2019-09-05 |