| NPI | 1972523256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD068743L) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: PA MD068743L) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |