| NPI | 1669714150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2020-02813) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289036) |
| 208000000X Pediatrics (Licence: NV DO2094) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2021-03-15 |