| NPI | 1740548411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA 311389) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 311389) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2019-07-19 |