| NPI | 1972797959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A112822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112822) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2013-08-20 |