| NPI | 1326369307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 52100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197319) |
| 208000000X Pediatrics (Licence: PA MD447010) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 57.022304) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2020-01-06 |