| NPI | 1205220860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.132986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.132986) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2024-11-19 |