| NPI | 1689794398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101254221) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.089723) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NH 14453) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2021-11-05 |