| NPI | 1093809659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G48774) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G 48774) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-08-04 |