| NPI | 1730419086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 50812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71485) |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2017-09-06 |