| NPI | 1699923847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OK 26466) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011014307) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2018-05-30 |