| NPI | 1770729360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX P4435) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C154756) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C154756) | |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2018-07-23 |