| NPI | 1710129184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR 170960) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 51366) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-01-02 |