| NPI | 1437492287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL 150482) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 85426) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 28923101) | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2024-08-14 |