| NPI | 1427768779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351049202) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A195620) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A195620) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-06-25 |