| NPI | 1790934800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A130466) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008013221) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2020-12-02 |