| NPI | 1912295841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME142475) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 078137) |
| 208000000X Pediatrics (Licence: FL ME142475) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-03-30 |