| NPI | 1770749749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 248238) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: IL 36118608) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2013-01-15 |