| NPI | 1063641637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301094683) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301094683) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2015-09-11 |