| NPI | 1417223769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX R0460) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R0460) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2020-12-03 |