| NPI | 1740212661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 015932) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: ME 015932) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-20 |