| NPI | 1669442232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR R2751) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR R2751) |
| 208000000X Pediatrics (Licence: TX E6267) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX E6267) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-10 |