| NPI | 1932596855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 263752) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 263752) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2021-06-17 |