| NPI | 1932171089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: ME 2053) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA OS013295) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-03-10 |