| NPI | 1346698149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 66225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.135177) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-08-25 |