| NPI | 1871857227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: CA A145691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A145691) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2018-07-30 |