| NPI | 1811128812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101261084) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101261084) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2023-08-11 |