| NPI | 1700221850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA MD60643780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60643780) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-07-11 |