| NPI | 1982997060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2022-01870) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02261) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 274839) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2022-12-07 |