| NPI | 1972914612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MT206909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206909) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2017-06-28 |