| NPI | 1912071655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A101980) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101980) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-11-30 |