| NPI | 1891136602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA OS016577) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS016577) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-11-06 |