| NPI | 1427461557 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125-064993) | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MT212589) | 
| Enumeration Date | 2014-06-05 | 
| Last Update Date | 2022-07-21 |