| NPI | 1811191406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX N3451) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0023104) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-09-08 |