| NPI | 1689863631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C170372) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.097779) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2023-07-11 |