| NPI | 1972570646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D86713) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 39262020) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35090720) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2019-07-09 |