| NPI | 1932408192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WA MD60478039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60224526) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2018-09-20 |