| NPI | 1164453718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C54496) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C54496) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 221819) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD218932) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-04-10 |