| NPI | 1477765113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX M7903) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M7903) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2012-04-06 |