| NPI | 1467896464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A124406) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a124406) |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2020-11-17 |