| NPI | 1932416740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A168756) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A168756) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.131160) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2022-12-09 |