| NPI | 1922335835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 267632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 56984) |
| 208000000X Pediatrics (Licence: MN 106825) | |
| 208000000X Pediatrics (Licence: NY 004124) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 56984) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2021-12-07 |