| NPI | 1851552566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301100715) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 259165) |
| 208000000X Pediatrics (Licence: MI 4301100715) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-06-08 |