| NPI | 1356454284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301069514) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301069514) |
| 208000000X Pediatrics (Licence: MI 4301069514) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-12-21 |