| NPI | 1801102470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: RI MD16423) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NH 17662) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 277475) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2019-01-22 |