| NPI | 1710130067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 239510) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 052380) |
| 208000000X Pediatrics (Licence: MA 239510) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 052380) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2021-03-29 |