| NPI | 1861690844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C178492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C178492) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD438271) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-04-10 |