| NPI | 1326435629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD490222) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 208000000X Pediatrics (Licence: OH 35.134573) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2025-06-16 |