| NPI | 1497132930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX U3252) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P31325) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2024-06-14 |